Community Pediatric Asthma Service

Forms

Clinical Referral Information

Need to know where to send your
asthma patient in the Calgary Zone?

Our "Where to Send Pediatric Patients"
information sheet includes all your options,
including links to more information and
referral forms in the Alberta Referral Directory.    


Community Spirometry

Pulmonary Function Test (PFT) Locations for Pediatric Spirometry, Calgary Zone:

This list provides direct links to community labs and referral forms

Spirometry

Where can I Send a Pediatric Asthma Referral in the Calgary Zone?

Please see the Alberta Referral Directory (ARD) for detailed referral information and required investigations/timing for most of these referral options

Community Pediatric Asthma Service

  • In-person and virtual education appointments in 9 AHS facilities with Certified Respiratory Educators for non-urgent, mild to moderate asthma that includes a customized Asthma Action Plan for every patient (self-management). A breathing exercise (simple spirometry) for children 6+ years is included, as required
  • Refer children <6 months to Pulmonary Clinic  Fax: 403-476-7755
  • Refer children 6 - 18 months to Asthma Clinic/Community Pediatrician
  • Tel: 403-943-9139  Fax: 403-776-3806    Referral Form


Pediatric Asthma Clinic, Alberta Children’s Hospital 

  • Refer children <6 months of age to Pulmonary Clinic Fax: 403-476-775
  • Appointments for children ≥6 months – <18 years with moderate to severe asthma. In-person appointments with a respirologist, pediatrician or nurse for diagnosis, management and asthma education which includes a customized Asthma Action Plan (self-management) provided to every patient
  • Non-responsive to treatment.  Note that a minimum of a 3-month trial of daily ICS is required
  • Medical co-morbidities, including medical and psychosocial concerns affecting child’s asthma, chronic lung disease of prematurity (please list all)
  • Referral to ACH PFT Lab for simple spirometry will be coordinated as required
  • Tel: 403-955-7875   Fax: 403-776-3807     Referral Form


Pediatric Pulmonary Function (PFT) Lab at the Alberta Children’s Hospital

  • Full range of breathing tests to assess pediatric lungs. Diagnostic PFT, preschool testing for children 4 – 6 years if developmentally appropriate, complete PFT for 6+ years with pre/post-bronchodilator, device teaching
  • Exercise testing (6-minute walk test, methacholine challenge) and saturation monitoring referrals are only available to ACH respiratory specialty clinics
  • Other community labs for pediatric simple spirometry in the Calgary Zone
  • Tel: 403-955-7875   Fax: 403-592-5101     Referral Form


Teen Asthma Program, Rockyview Hospital

  • Physicians can refer patients 17+ for respirologist support as they transition to adult care. Referrals are received by the Calgary Zone Pulmonary Central Access & Triage and forwarded to the clinic for triage
  • The clinic currently operates out of Rockyview General Hospital. Please indicate that the referral is intended for the “RGH Asthma Program
  • Tel: 403-943-8660  Fax: 403-592-4201     Referral Form


Community Pediatricians, Calgary Zone


Urgent Patient Inquiries, Alberta Children’s Hospital

  • Physicians can call the Alberta Children’s Hospital switchboard and ask to page the “pediatric respiratory physician on call”
  • Tel: 403-955-7211 (Switchboard)


Calgary COPD & Asthma Program (CCAP)

  • Patients 17+ years can self-refer for asthma/COPD education
  • Referrals for tobacco reduction and chronic cough require physician referral
  • Tel: 403-944-8742   Fax: 403-476-7772     Referral Form

Walk | Run | Play | Breathe
Material on this website has been designed for information purposes only. It should not be used in place of medical advice, instruction and/or treatment.
If you have specific questions, please consult your doctor or appropriate health care professional.